Service Needs Assessment

To plan and advocate for New York City’s growing population of older adults, NYC Aging surveyed older New Yorkers and their caregivers to better understand their needs. The first results have been published in The State of Older New Yorkers: Building An Age-Inclusive Future.

The Service Needs Assessment (SNA) was conducted from May through September 2024. Outreach and data collection plans were developed to reach a broad range of the population, beyond individuals who were already connected to NYC Aging’s network of services.

The survey accounted for the diversity of the older adult population to better identify service gaps, support program development, and ensure the public understands their needs.

The survey was developed by NYC Aging’s Bureau of Planning & Strategic Initiatives, with guidance from programmatic staff, senior leadership, and external stakeholders. Individuals could complete the survey if they lived in New York City and were at least 60 years old or were caring for someone 60 years or older who lived in the five boroughs.

To make the survey more accessible, and to help capture the diverse number of older New Yorkers, it was available in 11 languages. There were 8,600 older adults and caregivers who completed the survey, with 78.5% of them answering the questions online and another 21.5% answering them on paper. After initial analysis, researchers identified financial insecurity, affordable and accessible housing, social isolation and mental health, and caregiver services as some of the primary needs among New Yorkers aged 60 years over.


Key Findings

Caregiving

The survey revealed a unique burden on younger caregivers (those younger than 60 years old) who are frequently caring for both an older adult and a minor child. The results show the vast majority of younger caregivers (86%) are employed full-time, close to 55% of caregivers under 60 spend at least 15 hours a week caregiving.

Additionally, approximately 40% of older adult caregivers (those 60 years of age and older) indicated that they are also care receivers, meaning that they are receiving assistance with certain day-to-day tasks while also providing care to somebody else.

Comparison of Weekly Time Spent Caregiving for Younger vs. Older Caregivers
NA results for Comparison of Weekly Time Spent Caregiving for Younger vs. Older Caregivers
Financial Insecurity

Over 40% of older adults reported trouble paying at least one regular bill. Additionally, approximately 30% of older adults reported difficulty or an outright inability to purchase affordable, healthy food in their communities, largely due to the cost of healthy food.

Trouble Paying Bills Among Survey Respondents
Graph showing results of Paying Bills among SNA Respondents
Social Isolation & Mental Health

Approximately 22% of older adults indicated that they are not socializing with others as often as they would like, and 17% of older adults reported relatively high levels of loneliness. Further, nearly 18% of older adults were found to have possible anxiety and/or depression.

Likelihood of Mental Health Needs Among Survey Respondents
SNA Graph on Likelihood of Mental Health Needs Among Older Adults
Affordable & Accessible Housing

More than one in four older adults indicated that they do not have stable housing, either because they are worried that they will lose their housing in the future or because they truly lack housing. Additionally, over 30% of older adults reported at least one factor impacting their ability to access or use some of the rooms or spaces in their homes.

Housing Stability Among Survey Respondents
Graph showing results of Paying Bills among SNA Respondents

How New York City is Becoming Age-Inclusive

To address the needs of older adults, New York City has taken several steps to ensure they are able to continue living in their communities, close to their family and friends.

These initiatives include:

  • Creating a curriculum for front-line workers from NYC Health + Hospitals and NYC Department of Health and Mental Hygiene to raise awareness about what other agencies have to support older adult patients and those looking after them;
  • In the City’s Fiscal Year 2025, 54,943 older New Yorkers received help signing up for the Senior Citizen Rent Increase Exemption and/or Disability Rent Increase Exemption, helping them afford to stay in their communities.  
  • Assigning an Older Adult Liaison to every New York Police Department Precinct and Police Service Area to provide assistance to older residents when appropriate, and better identify elder abuse, complaints and patterns of crime;
  • Expanded NYC Aging’s network of community-based elder abuse providers and Tenancy and Eviction Support Services;
  • The NYC Office of Technology and Innovation launched a program to reduce the digital divide, by providing technology and training opportunities at 450 public computer centers across the city;
  • NYC Public Schools teach about ageism so the next generation of New Yorkers are aware of this type of discrimination and understand the impact it has on our society;
  • NYC Aging launched the Pop-Up Café pilot program to expand access to nutritious food for older adults;
  • NYC Commission on Human Rights began providing multilingual training on NYC Human Rights Law and Age Discrimination in Employment training to the older New Yorkers in NYC Aging’s workforce program;
  • Introduced mental health professionals to older residents at NYC Parks and Recreation Centers to reduce stigma around mental health and inform them about the services available.

Read The Reports

In a series of reports, NYC Aging will outline the results from the SNA. The first report, The State of Older New Yorkers, is an overview of the key findings, including sociodemographic characteristics, overall findings concerning quality of life, health and ageism, caregiving, use of technology, and knowledge of aging services.

Early findings and associated implications are listed within the reports. However, these should be used to initiate discussions with stakeholders, other agencies (including those in the Cabinet for Older New Yorkers), and community partners.

Download the Report:

  1. The State of Older New Yorkers: Initial NYC Service Needs Assessment Overview Report
  2. Appendix A; Appendix B; Appendix C
  3. Additional Resources